Maxwell Anne-Marie, McMahon Catherine, Huber Anna, Hawkins Erinn, Reay Rebecca Elizabeth
Department of Psychology, Centre for Emotional Health, Macquarie University, Sydney, NSW, Australia.
School of Applied Psychology, Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia.
Front Glob Womens Health. 2020 Oct 22;1:575752. doi: 10.3389/fgwh.2020.575752. eCollection 2020.
Parenting interventions informed by attachment theory are an increasingly popular choice for clinical services that work with parents of babies and young children. Circle of Security Parenting (COS-P) is one such intervention, which has had extraordinary uptake internationally. Evidence for COS-P is very limited, however; there are few published studies, most with very small samples, and findings are mixed. This paper describes a multi-site evaluation of COS-P, designed to help address this evidence gap. This is a non-randomized controlled effectiveness study of COS-P in four community child and family health settings. Participants are caregivers of children aged 6 years and under, who present to study sites with parenting challenges in the early parenting period. Participants are recruited through these sites, and allocated to either treatment or waitlist control condition based on their capacity to attend the next available COS-P group. Outcomes (changes in caregiving attitudes and capacities linked to child social and emotional development, and caregiver depression symptoms) are assessed at baseline and post-treatment/waitlist using self-report questionnaires (all participants), and a narrative interview and 5-min parent-child interaction (a sub-sample of participants). Additionally, potential moderators of the intervention (demographic, symptom severity) will be tested. This is one of the first controlled evaluations of COS-P, and the first in Australia where COS-P dissemination has been particularly widespread. Results from this study will provide valuable information about the effectiveness of COS-P for caregivers with early parenting challenges, and will increase understanding of what works for whom.
基于依恋理论的育儿干预措施，对于针对婴幼儿父母的临床服务而言，正日益成为一种受欢迎的选择。“安全圈育儿法”（COS-P）就是这样一种干预措施，它在国际上得到了广泛采用。然而，关于COS-P的证据非常有限；已发表的研究很少，大多数样本量很小，而且研究结果参差不齐。本文描述了一项对COS-P的多地点评估，旨在帮助填补这一证据空白。这是一项在四个社区儿童与家庭健康机构中开展的关于COS-P的非随机对照有效性研究。参与者为6岁及以下儿童的照料者，他们在育儿早期阶段带着育儿难题来到研究机构。参与者通过这些机构招募而来，并根据他们参加下一个可用COS-P小组的能力，被分配到治疗组或等待名单对照组。在基线以及治疗后/等待名单结束时，使用自我报告问卷（所有参与者）、叙事访谈和5分钟亲子互动（参与者子样本）来评估结果（与儿童社会和情感发展以及照料者抑郁症状相关的照料态度和能力的变化）。此外，还将测试干预措施的潜在调节因素（人口统计学因素、症状严重程度）。这是对COS-P的首批对照评估之一，也是在澳大利亚开展的首例此类评估，在澳大利亚，COS-P的传播尤为广泛。这项研究的结果将为COS-P对面临早期育儿难题的照料者的有效性提供有价值的信息，并将增进对何种方法适用于何人这一问题的理解。
